Individual
DR. H J NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
345 MAIN ST, HARTFORD, CT 06106-1824
(860) 293-3101
(869) 293-3117
Mailing address
12-14 WESTON ST., HARTFORD, CT 06120
(860) 293-3101
(860) 293-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
034445
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001344457
—
CT
01
—
034445
STATE LICENSE
CT
01
—
23144
CONTROLLED SUBSTANCE
CT
Enumeration date
02/13/2006
Last updated
02/15/2024
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